Lacrimal drainage anomalies in Pierre Robin sequence

ABSTRACT

Pierre-Robin sequence consists of a classical triad of micrognathia, glossoptosis, and upper airway obstruction. The common ocular manifestations include congenital glaucoma, high myopia, maculopathy, and retinal detachment. Except for a mention of a nasolacrimal duct obstruction without many details, lacrimal drainage anomalies have not been reported earlier to the best of the authors’ knowledge. The present case describes several lacrimal drainage anomalies including supernumerary puncta, canalicular wall hypoplasia, grossly dilated nasolacrimal duct, and complex congenital nasolacrimal duct obstruction in a patient of Pierre Robin sequence. The patient was successfully managed with endoscopic guided probing and marsupialization of the large intranasal cyst resulting in a complete resolution of epiphora.

KEYWORDS:

• Pierre-Robin syndrome
• Pierre-Robin sequence
• lacrimal
• CNLDO
• nasolacrimal duct

Disclosure statement

Mohammad Javed Ali receives royalties from Springer for his treatises “Principles and Practice of Lacrimal Surgery” and “Atlas of Lacrimal Drainage Disorders.”

Additional information

Funding

Hyderabad Eye Research Foundation